# PREMISE HEALTH OF FLORIDA MEDICAL, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deutsche Bank Health Unit
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780033498
- **Authorized official:** JON LEIZMAN M.D. (PRESIDENT)
- **Authorized official phone:** (216) 479-9063

## Contact information

- **Practice address:** 5022 GATE PKWY STE 400, JACKSONVILLE, FL 32256-0833
- **Practice address phone:** (904) 645-4060
- **Practice address fax:** (904) 645-4061
- **Mailing address:** 5500 MARYLAND WAY, ATTN RCM DEPT, BRENTWOOD, TN 37027-4948
- **Mailing address phone:** (904) 645-4060
- **Mailing address fax:** (904) 645-4061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2016
- **Last updated:** 08/15/2022